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vsPractice Fusion

Elexis vs Practice Fusion

Last updated October 2026

Looking for a European alternative to Practice Fusion? Here's how Elexis compares, on EU hosting, GDPR and what it does.

Our pick for a European buyer: Elexis. We weight data residency, GDPR and EU jurisdiction above everything else — that is the constraint this directory exists to solve.

Elexis
Practice Fusion
What it is
Open-source practice management for Swiss healthcare providers
Cloud-based EHR and practice management software for independent medical providers.
Headquarters
🇨🇭 CH
🇺🇸 US · 2005
EU data residency
not established
not established
DSGVO / GDPR
No
not established
Certifications
No
ONC Certified EHR Technology
Price from
No
$199/mo
Free plan
No
No
Open Source
Yes
No
Ratings
No
G2 3.8/5 (62) · CAPTERRA 4.5/5
Integrations
No
TrustCommerce, Over 350 labs, Over 200 imaging partners, Billing partners

Where each one wins

Elexis

Practice Fusion

Strengths

  • +Intuitive interface for independent providers
  • +Strong e-prescribing capabilities
  • +Integrated billing services
  • +FHIR API for interoperability

Limitations

  • −Requires annual commitment
  • −Limited public pricing for billing services
  • −No confirmed EU/German data residency
  • −No standalone DPA or sub-processor list publicly available

Data residency & compliance

Elexis
Practice Fusion
EU data residency
not established
not established
Transfer mechanism
not established
not established
DPA
not established
not established
Sub-processors
not established
not established
Certifications
No
ONC Certified EHR Technology

Pricing

Elexis

No published pricing we could verify.

Practice Fusion

  • EHR $199 per provider per monthIncludes 3 signing staff · Unlimited non-signing staff · Billed annually

Free 14-day trial available, no credit card required. Billing services pricing not publicly disclosed.

Features

Elexis

Feature breakdown not yet compiled.

Practice Fusion

Clinical EHR
Cloud-based charting, Patient records management, Lab and imaging orders and results, Flowsheets
Prescribing
E-prescribing for regular and controlled substances, Refill handling, EPCS available in all 50 US states and DC
Practice Administration
Scheduling, Document uploads, Staff permissions, Reporting and MIPS-related functions
Billing
Medical claims functions, Optional billing services, Billing-partner integrations
Patient Access & Interoperability
Patient portal options, FHIR connections to third-party apps
See Elexis →More Practice Fusion alternatives